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Purchase a Gift Book

In order to purchase a book in honor or in memory of someone for the APL collection, please visit the Alexandrian Public Library for a copy of the form below and to provide payment. Thank you for your support of the Alexandrian Public Library!

Memorial, Honorariums & Other Gifts to the Alexandrian Public Library 

A gift to the library is a thoughtful way to remember a special person or occasion, or to help build and expand the Library’s collection of books for public use. Please fill in all relevant information so that we can follow your instructions exactly. A bookplate will be affixed to each item to recognize the individual or group for whom the donation is given. A note acknowledging the gift will also be sent to the person(s) being honored or remembered, or their family. Please return this form to the Library at 115 West Fifth Street, Mount Vernon, Indiana 47620. Please make checks payable to: Alexandrian Public Library.

 

I wish to donate $_________ to the Library.

 

Donor’s name:___________________________________________________________________

 

Contact name if group or organization:________________________________________________

 

Street Address:___________________________________________________________________

 

City:_____________________ State:___ Zip:_________   Daytime phone:____________________

 

Please use my gift towards:

 

1. ___Books (The suggested prices are $25 for an adult book or $15 for a Children’s book)

 

2. ___Billy D. Walker Memorial Fund

 

Check one:

 

____ Make a selection in a subject area of the Library’s greatest need.

 

____ Make a selection in the subject area of ________________________________________

 

____ Purchase this specific item: __________________________________________________

 

Author:_______________________________________________________________________

 

Title: _________________________________________________________________________

 

Optional:

 

Gift is given in memory of _________________________________________________________

 

Or in honor of __________________________________________________________________

 

For the following occasion: ___ Birthday ___Marriage ___Anniversary ___Graduation ___Other

 

Please send notice of this donation to: (person being remembered or honored, or his/her family)

 

Name: _________________________________________________________________________

 

Address: _______________________________________________________________________

 

 

Wording for Bookplate:_______________________________________________________

 

For APL use only: Paid: $_____ Check Deposited: ____ Title Selected: ____ Title Ordered: ____

 

Bookplate Placed: ____ Book on Hold: ____ Donor Thanked: ____ Notification Sent: _____